Individual
ALLAN B WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
499 E HAMPDEN AVE, STE 300, ENGLEWOOD, CO 80113-2793
(303) 788-8500
(303) 788-8505
Mailing address
499 E HAMPDEN AVE, STE 300, ENGLEWOOD, CO 80113-2793
(303) 788-8500
(303) 788-8505
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16825
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01168251
—
CO
Enumeration date
06/13/2005
Last updated
07/08/2007
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